Michael Bernard Gasko, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12007239A Issued in IN

Practice address

13432 McKinley Hwy Ste 5
Mishawaka, IN 46545-7447

Phone

(574) 255-0035

Fax

(574) 255-7786

NPI assigned

Nov 21, 2006

Last updated

Apr 19, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: mgasko527694@direct.ochin.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Michael B Gasko,DDS ,Inc

  • General Practice Dentistry
  • South Bend, IN
  • NPI 1538535836
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1407921927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 N NOTRE DAME AVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466172839",
            "telephone_number": "574-234-6561",
            "fax_number": "574-287-5144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13432 MCKINLEY HWY STE 5",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465457447",
            "telephone_number": "574-255-0035",
            "fax_number": "574-255-7786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASKO",
        "first_name": "MICHAEL",
        "middle_name": "BERNARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12007239A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200106530",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shamila Garg, MD
• Yareli Garibay Ramos
• Justice Garman
• Laura Garries
• Erica Garver, FNP-BC
• Thomas Gast, MD
• Rosemary Gathungu, FNP
• Alexander C Gatzimos, M.D.,JD
• Erin Marie Gaul, MSW, LSW
• Crystal Geerts

• General Practice Dentistry in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.